Mrs Christine Jewel Green, is a medicare enrolled "Counselor - Mental Health" in Chicopee, Massachusetts. Her current practice location is
77 Cyman Dr, Chicopee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 374-7478.
Mrs Christine Jewel Green is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053980961.
Provider's Profile
Full Name | Mrs Christine Jewel Green |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 77 Cyman Dr, Chicopee, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053980961
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971030255
- Enrollment ID: I20241227000924
Medical Identifiers
Medical identifiers for Mrs Christine Jewel Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053980961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LN96634 (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Christine Jewel Green allows following entities to bill medicare on her behalf.
Entity Name | Boston Neurobehavioral Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558415307 PECOS PAC ID: 9436142429 Enrollment ID: O20120926000381 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Christine Jewel Green is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Christine Jewel Green, 77 Cyman Dr, Chicopee, MA 01013-3023 Ph: (413) 374-7478 | Mrs Christine Jewel Green, 77 Cyman Dr, Chicopee, MA 01013-3023 Ph: (413) 374-7478 |
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